1. Jelka Zaletel MD, PhD, diabetologist
Slovenia
Jelka Zaletel MD, PhD, diabetologist

2. Prevention in healtcare system
The Bismarck model, single payer
Prevention run by Family doctors and Prevention centers, primary care
Preventive programmes:
Cardiovascular diseases
Cervical cancer
Breast cancer
Colorectal cancer

3. Jelka Zaletel MD, PhD, diabetologist SO WHY AM I HERE
Slovenia
Jelka Zaletel MD, PhD, diabetologist
SO WHY AM I HERE

4. Diabetes Prevention and Care Development Programme 2010 - 2020, Slovenia

5. EMPOWERED
PATIENT/PERSON
COORDINATED
HEALTHCARE
SYSTEM
ACTIVATED
SOCIETY

6. New concepts

7. New providers’ qualifications
New roles of old professions: SHIFT and EXPAND
Evolution of the professions and role of the patient

8. “Triple aim”, D. Berwick + one more
Providers’ satisfaction

9. Social movement appproach

10. New structure

11. Restructuring primary care 105 Model Practices, 2011
Team:
1 medical doctor
1 nurse (secondary school)
0,5 registred nurse
0,5 administrative staff

12. Restructuring primary care 40 Teaching Practices, 2011-2012
Team:
1 medical doctor in training, 30% capitation
1 nurse (secondary school)
0,5 registred nurse
0,5 administrative staff

13. New views

14. Traditional education methods are not enough

15. New challenges

16. National chronic disease strategy
Determinants of health
Risk factors
Prevention
Early dgn
Highest possible quality of care, incl. rehabil.
Integrative strategies

17. Upgrade the healthcare system to serve prevention and chronic care

18. Jelka Zaletel MD, PhD, diabetologist SO WHY AM I HERE
Slovenia
Jelka Zaletel MD, PhD, diabetologist
SO WHY AM I HERE

19. 1995 First attempt of the N’tl Diabetes Programme (inspired by St
1995 First attempt of the N’tl Diabetes Programme (inspired by St. Vincent Declaration)

20. 2005 Second attempt, boosted in 2007 (WG) CRASH and starting new way in May new (J. Z.) and old (M. P.) proactive WG members ONE CAN NOT CHANGE THE WORLD introducing interactive and communicative atmosphere - linking stakeholders (people & institutions & interests) RESPECT

21. Draft, where colleagues could find their phrases
You are important
MM: one writer
Draft, where colleagues could find their phrases
Central question: what could I do for my patient
We go first for strategy
Right or wrong
Marketing inside institutions
Joint events to discuss NP
Commitment of institutions
The payer joined WG
Joint event of institutions, public debate
Advisory board to Minister of Health approval for NP and AP
Governance approval – April 2010
Action Plan ahead of plan

22. Diabetes Prevention and Care Development Programme 2010 - 2020, Slovenia

23. EMPOWERED
PATIENT/PERSON
COORDINATED
HEALTHCARE
SYSTEM
ACTIVATED
SOCIETY

24. Healthcare upgrade (reform) Many focuses
Coordination – building the network leadership
Restructuring the primary care
Re-positioning of secondary care
Still silosing of primary care
Fast change – still same structure/organisation
Fatigue
Priority settings
Short term vs long term goals

25. DIABETES

26. National chronic disease strategy